Individual provider Active NPI

Candace Marie Lartigue, NP APN

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1932744828
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0995084 Issued in CO
Practice address
3800 York St
Denver, CO 80205-3540
Phone
(303) 296-1767
Fax
(866) 335-7875
NPI assigned
Nov 14, 2019
Last updated
Nov 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0995084 CO Primary

Addresses

Primary practice location

3800 York St
Denver, CO 80205-3540

Mailing address

3800 York St
80205, CO 80205-3540
Phone (303) 296-1767

Other identifiers 2

IdentifierTypeStateIssuer
APN0995084OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES LICENSE
RXN0104355OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603001783 CO Practitioner - Nurse Practitioner 2365863164 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0995084COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inner City Health Center CurrentSince Mar 3, 2020 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2021 Accepting new patients
Inner City Health Center CurrentSince Mar 3, 2020 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2021 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

3800 N York St
Denver, CO 80205
Phone (303) 296-1767

501 28th St
Denver, CO 80205
Phone (303) 436-4600

777 Bannock St
Denver, CO 80204

6301 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 940-9118

Interoperability endpoints

  • Direct secure messaging: clartigue255936@direct.dhha.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1932744828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 YORK ST",
            "city": "80205",
            "state": "CO",
            "postal_code": "802053540",
            "telephone_number": "303-296-1767",
            "fax_number": "866-335-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053540",
            "telephone_number": "303-296-1767",
            "fax_number": "866-335-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARTIGUE",
        "first_name": "CANDACE",
        "middle_name": "MARIE",
        "credential": "NP APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0995084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES LICENSE",
            "identifier": "APN0995084",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES LICENSE",
            "identifier": "RXN0104355",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.